CommercialAdministrativeMedium impact
[Georgia] Submit corrected claims electronically for the Federal Employee Program®
Anthem BCBS·GA·Provider Bulletin
Effective date
Mar 30, 2026
We identified it
May 3, 2026
Summary
Anthem Blue Cross Blue Shield (Georgia) is promoting electronic submission of corrected claims for Federal Employee Program members using Availity Essentials or EDI. Providers must use specific frequency codes (6, 7, or 8 for professional claims; 0XX6, 0XX7, or 0XX8 for institutional claims) when resubmitting previously adjudicated claims, and must include the original claim's payer control number (ICN/DCN) to void the original and process the correction.
Action Required
By March 30, 2026: Billing team must implement corrected claim submission procedures for FEP members through Availity Essentials or EDI. (1) Configure billing software or clearinghouse to support frequency codes 6, 7, 8 for professional (837P) claims and 0XX6, 0XX7, 0XX8 for institutional (837I) claims. (2) Train billing staff to obtain and populate the Payer Control Number (ICN/DCN) field from 835 ERA or Remittance Inquiry before resubmitting corrected claims. (3) Update internal corrected claims workflow to require electronic submission via Availity or EDI rather than paper submissions. (4) Verify with practice management software vendor, billing service, or clearinghouse that corrected claim functionality supports the required frequency codes. Failure to use correct frequency codes and payer control numbers may result in claim processing errors or denials.